Wednesday, November 07, 2018
Your Health Insurance Plan Company News Quick Read-
Who's making news today?  Here is HCBD-Who'sIT!
Executive Index
by Company
Ms. Beth Melcher
Alliance Behavioral Healthcare
Executive Vice President - Care Management Division
Mr. David McNichols
Anthem Blue Cross and Blue Shield in Ohio
Former President, Medicare Central Region
Ms. Lisa M. Guertin
Anthem, Inc.
President of Anthem Blue Cross and Blue Shield in New Hampshire
Ms. Maurice Smith
Blue Cross and Blue Shield of Illinois (BCBSIL)
Dr. Derek Robinson
Blue Cross and Blue Shield of Illinois (BCBSIL)
Vice President and Chief Medical Officer
Patrick Conway MD, MSc
Blue Cross and Blue Shield of North Carolina (BCBSNC)
President and CEO
Ms. Deb Devaux
Blue Cross Blue Shield of Massachusetts (BCBSMA)
Director of Community Transformation
Ms. Cindy Bjorkquist
Blue Cross Blue Shield of Michigan Foundation
Director of Wellness and Care Management
Mr. Ted Haynes
Blue Cross Blue Shield of Oklahoma (BCBSOK)
Terry Gilliland M.D.
Blue Shield of California
Senior Vice President and Chief Health Officer
Mr. Gaspere Calvaruso
Capital Region Medical Center
Ms. Phyllis Szymanski
ClinicalConnect HIE
Eric Rosow
Diameter Health
Chief Executive Officer
Mr. Seth Blackley
Evolent Health
Co-Founder and President
Mr. Frank Williams
Evolent Health
Chief Executive Officer
Ms. Kate McCarthy
Forrester Research, Inc.
Former Senior Analyst
Dr. Verlin Janzen
Hutchinson Clinic
Chief Medical Officer, Medical Informatics and Population Health
Betty Rabinowitz MD, FACP
NextGen Healthcare Information Systems, LLC
Chief Medical Officer
Mr. Andy Fosmire
Oklahoma Hospital Association (OHA)
Vice President for Rural Health
John Fox MD
Priority Health
Medical Director
Ivette Cuadrado MD
The Physician Manpower Training Commission (PMTC)
Mr. Richard D. Evans
The Physician Manpower Training Commission (PMTC)
Executive Director
Mr. Adam Sabloff
Sadananda (Sada) Rai
ZeOmega, Inc.
Co-Founder and Vice President, Client Services and Information Systems
Company News Headlines
HIP News and Announcements      
Anthem Blue Cross and Blue Shield in Missouri Adds Capital Region Medical Center to Its Medicare Advantage Provider Network
" Anthem is dedicated to delivering products and services that enhance consumers’ healthcare experience and part of that is giving them a quality network of care providers from which they can receive care. We look forward to working with Capital Region Medical Center to address the dynamic needs of Medicare-eligible individuals and help them lead healthier lives," said Mr. David McNichols , President of Anthem’s Medicare Central Region

[Read On...]
Concord Hospital Now Part of Anthem Blue Cross and Blue Shield’s Pathway Network
“Having Concord Hospital and its medical group join our Pathway Network helps to strengthen what is already a comprehensive statewide hospital and physician network. We’re pleased to be working with Concord Hospital and its physicians to provide our consumers in the greater Concord area access to new health care options," said Ms. Lisa M. Guertin , president of Anthem

[Read On...]
Blue Cross Blue Shield of Massachusetts Testifies at Annual Cost Trends Hearings
"We serve nearly 3 million members and more than 39,000 accounts as their health plan. Our purpose and our responsibility to our customers is making quality health care affordable. To do this, we focus on cost, quality and access to services for our members. Thank you for inviting BCBSMA to participate in this year’s Cost Trends Hearings," said Ms. Deb Devaux , Chief Operating Officer, BCBSMA

[Read On...]
Blue Cross Blue Shield of Michigan Adds ‘First-Of-Its-Kind’ Virtual Well-Being Benefit for Employers, Members
“The health of our members is a top priority at Blue Cross , so we’re excited about offering this innovative program that will focus on how they can improve their overall well-being. Not only is the Virtual Well-Being program easily accessible for members looking to enhance their mental and physical health, but it’s also a convenient solution for employers to learn best practices for building, complementing or enhancing their onsite well-being program," said Ms. Cindy Bjorkquist , well-being programs director at Blue Cross Blue Shield of Michigan

[Read On...]
Blue Cross NC Lowering 2019 Medicare Advantage Rates by 30 Percent and Adding Benefits
“Due to our efforts to better manage care and reduce costs, we’re able to cut rates, increase benefits, and expand our MA plans into new counties – all with broad network of doctors that reaches 92 percent of eligible MA members. We encourage all people new to Medicare and currently in Medicare to take a close look at Blue Cross NC Medicare Advantage Plans," said Dr. Patrick Conway MD, MSc , President and CEO of BCBSNC

[Read On...]
BCBSOK: Private and Public Organizations Partner to Increase Patients's Access to Quality Health Care to Underserved Panhandle
“This program provides a great opportunity for rural communities to bring much-needed primary care physicians to underserved areas. Developing partnerships like these to increase access to care is truly a victory for the patients served in this region of the state, along with the The Physician Manpower Training Commission (PMTC) , Oklahoma State Medical Association (OSMA) , and BCBSOK ," said Mr. Andy Fosmire

, vice president for Rural Health, Oklahoma Hospital Association (OHA)

[Read On...]
Blue Cross Blue Shield of Tennessee: Potential Impact from Telemedicine Fraud Case Much Less than Media Reports Stated
On Oct. 15, the United States Department of Justice announced that four individuals and seven companies were indicted as part of a telemedicine fraud case. The department’s official release noted that numerous conspirators intended to defraud “private health care benefit programs such as BCBST out of approximately $174,000,000.”

[Read On...]
Blue Shield of California Offers New Medicare Plans and Expanded Healthcare Services to Help Members Lead Healthy, Active Lives
“Our goal is to provide Medicare members with plans that meet their needs when they need care, and help them lead the most satisfying lives every day. Expanding our coverage to include things like hearing aid tests and hearing aids can make a big difference in a member’s quality of life. It’s this kind of care that makes Blue Shield of California worthy of our family and friends," said Dr. Terry Gilliland M.D. , senior vice president and chief health officer, Blue Shield of California

[Read On...]
Priority Health Offers New Digital Tool for Diabetes Prevention
“Expanding access to the Diabetes Prevention Program to a digital platform furthers our commitment to Priority Health’s diabetes prevention efforts. Diabetes is the seventh leading cause of death in Michigan1 so our prevention solutions like DPP must be easily accessible if we are to help our members avoid diabetes and its devastating consequences," said Dr. John Fox MD , associate chief medical officer at Priority Health

[Read On...]
Dr. Derek Robinson Joins Blue Cross And Blue Shield Of Illinois as Chief Medical Officer
" Dr. Derek Robinson ’s leadership will help BCBSIL deliver on our commitment to improve health equity and help our members achieve better health outcomes. His wealth of experience in health policy and innovation will be a welcome addition to the Illinois plan," said Ms. Maurice Smith , president, Blue Cross and Blue Shield of Illinois

[Read On...]
UPMC Health Plan Offers the Lowest Cost Silver Marketplace Plans in Counties in Pennsylvania
UPMC Health Plan will once again offer among the lowest cost health insurance plans on Pennsylvania’s Health Insurance Marketplace, including the lowest cost Silver option in 38 Pennsylvania counties where UPMC Health Plan offers individual coverage. UPMC Health Plan is among the lowest cost health insurance plans in every county in which it offers individual coverage and has some of the lowest cost individual plans outside of the Marketplace as well.

[Read On...]
NAVIGATION - Other Sections in Today's HCBD-Who'sIT! Daily:
HIP Care Management and Well-Being Announcements
Solutions News and Announcements
HIP Industry Events

HIP Care Management and Well-Being Announcements    back to index
Evolent Health and SOMOS IPA Aim to Provide Physician-Driven Medicaid Managed Care through New York Innovator Program
[Read On...]
NextGen Healthcare Launches Industry-First Quality and Cost Measurement Capability
[Read On...]
Solutions News and Announcements    back to index
Diameter Health Continues Pennsylvania Expansion with New ClinicalConnect HIE Partnership
[Read On...]
ZeOmega: Alliance Behavioral Healthcare Goes Live with Jiva 6.1
[Read On...]
HIP Industry Events    back to index
VirtualHealth Executive to Discuss Patient Engagement at 2018 Texas Association of Health Plans (TAHP) Managed Care Conference
[Read On...]

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